CAROLE J CRANE PHD PA
Ambulatory Health at Smith St, Orange Park, FL

License number
Florida PY00002130
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. CAROLE J CRANE PHD
Title: PRESIDENT
Phone: (904) 264-7099
Address
Address
1680 Smith St SUITE 1, Orange Park, FL 32073
National Provider ID: 1689991135
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Carole J. Crane, PH.D.., PA

1680 Smith St, Orange Park, FL 32073

Registration:
Jan 6, 2000
State ID:
P00000003996
Business type:
Domestic for Profit Corporation
President, Secretary:
Carole J. Crane (President, Secretary)

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